Chesapeake Veterinary Surgical Specialists (CVSS) Client Survey
RequiredRequired Question(s)
Required 1.

In which location were you and your pet seen?

Required 2.

Which doctor did you see?

Dr. Anders
Dr. Burgess
Dr. Evans
Dr. Jeyakumar
Dr. Keats
Dr. Prostredny
Dr. Roa
Dr. Weeren
  • Comment:

  • 500 characters left.
Required 3.

My most recent visit with  the surgery practice (CVSS) was

within the last 7 days
over a week ago but not more than 3 weeks ago
over 3 weeks ago but not more than 8 weeks (2 months) ago
over 2 months ago but not more than 6 months ago
over 6 months ago but not more than a year ago
over a year ago

Please rate the following in relation to your most recent visit with the surgery practice (CVSS)

 Strongly Disagree Disagree Neutral Agree Strongly Agree 
I was greeted warmly by the staff at the front desk.
My appointment started within an acceptable time frame.
I felt as though my pet and I were treated compassionately.
The doctor thoroughly explained the diagnosis and treatment plan and answered all of my questions.
The surgery staff were professional and courteous.
Overall, my pet and I received excellent service from CVSS.
Overall, my pet received excellent care from CVSS

How would you rate your overall level of satisfaction with the surgery practice (CVSS)?

Highly satisfied
Somewhat satisfied
Somewhat dissatisfied
Highly dissatisfied

How likely are you to continue using  CVSS' services?

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

Have you ever recommended the surgery practice (CVSS) to others?

No, never recommended
Have recommended once or twice
Have recommended several times

Do you have any suggestions for improvement of CVSS?


350 characters left.

Do you have any comments about your experience with CVSS?


350 characters left.
Required 10.

Your pet's name


50 characters left.
Required 11.

What species is your pet?


Your last name (optional)


50 characters left.